401k Plan data: SSA GROUP, LLC 401(K) PLAN plan

SSA GROUP, LLC 401(K) PLAN 401k Plan overview

Plan Name	SSA GROUP, LLC 401(K) PLAN
Plan identification number	001

SSA GROUP, LLC 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

SSA GROUP, LLC has sponsored the creation of one or more 401k plans.

Company Name: SSA GROUP, LLC

Employer identification number (EIN): 930996528

NAIC Classification: 722513
NAIC Description: Limited-Service Restaurants

Additional information about SSA GROUP, LLC

Jurisdiction of Incorporation: Colorado Department of State

Incorporation Date: 2003-03-06

Company Identification Number: 20031074720

Legal Registered Office Address: 4624 Central Park Blvd Unit 100

Denver
United States of America (USA)
80238

More information about SSA GROUP, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SSA GROUP, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2021-01-01
001 2020-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 KEVIN J ELDREDGE
001 2017-01-01 KEVIN J ELDREDGE
001 2016-01-01 KEVIN J ELDREDGE
001 2015-01-01 KEVIN J ELDREDGE
001 2014-01-01 KEVIN J ELDREDGE
001 2013-01-01 KEVIN J ELDREDGE

Plan Statistics for SSA GROUP, LLC 401(K) PLAN

401k plan membership statisitcs for SSA GROUP, LLC 401(K) PLAN

Measure Date Value
2022: SSA GROUP, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,130
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 957
Number of retired or separated participants receiving benefits 2022-01-01 1
Number of other retired or separated participants entitled to future benefits 2022-01-01 271
Total of all active and inactive participants 2022-01-01 1,229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 1,229
Number of participants with account balances 2022-01-01 525
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 3
2021: SSA GROUP, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,065
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 708
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 271
Total of all active and inactive participants 2021-01-01 979
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 979
Number of participants with account balances 2021-01-01 504
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 19
2020: SSA GROUP, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,279
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 614
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 175
Total of all active and inactive participants 2020-01-01 789
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 789
Number of participants with account balances 2020-01-01 180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 3
2019: SSA GROUP, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,162
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 937
Number of retired or separated participants receiving benefits 2019-01-01 3
Number of other retired or separated participants entitled to future benefits 2019-01-01 206
Total of all active and inactive participants 2019-01-01 1,146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1,146
Number of participants with account balances 2019-01-01 511
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 22
2018: SSA GROUP, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 970
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 814
Number of retired or separated participants receiving benefits 2018-01-01 5
Number of other retired or separated participants entitled to future benefits 2018-01-01 174
Total of all active and inactive participants 2018-01-01 993
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 993
Number of participants with account balances 2018-01-01 492
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 24
2017: SSA GROUP, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 903
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 701
Number of retired or separated participants receiving benefits 2017-01-01 5
Number of other retired or separated participants entitled to future benefits 2017-01-01 158
Total of all active and inactive participants 2017-01-01 864
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 864
Number of participants with account balances 2017-01-01 497
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 48
2016: SSA GROUP, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 794
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 725
Number of retired or separated participants receiving benefits 2016-01-01 2
Number of other retired or separated participants entitled to future benefits 2016-01-01 113
Total of all active and inactive participants 2016-01-01 840
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 840
Number of participants with account balances 2016-01-01 476
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 25
2015: SSA GROUP, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 701
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 560
Number of retired or separated participants receiving benefits 2015-01-01 2
Number of other retired or separated participants entitled to future benefits 2015-01-01 100
Total of all active and inactive participants 2015-01-01 662
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 662
Number of participants with account balances 2015-01-01 337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 33
2014: SSA GROUP, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 651
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 558
Number of retired or separated participants receiving benefits 2014-01-01 2
Number of other retired or separated participants entitled to future benefits 2014-01-01 78
Total of all active and inactive participants 2014-01-01 638
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 638
Number of participants with account balances 2014-01-01 273
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 21
2013: SSA GROUP, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 474
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 449
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 57
Total of all active and inactive participants 2013-01-01 506
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 506
Number of participants with account balances 2013-01-01 243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 17

Measure	Date	Value
2022: SSA GROUP, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,130
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	957
Number of retired or separated participants receiving benefits	2022-01-01	1
Number of other retired or separated participants entitled to future benefits	2022-01-01	271
Total of all active and inactive participants	2022-01-01	1,229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	1,229
Number of participants with account balances	2022-01-01	525
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	3
2021: SSA GROUP, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,065
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	708
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	271
Total of all active and inactive participants	2021-01-01	979
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	979
Number of participants with account balances	2021-01-01	504
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	19
2020: SSA GROUP, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,279
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	614
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	175
Total of all active and inactive participants	2020-01-01	789
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	789
Number of participants with account balances	2020-01-01	180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	3
2019: SSA GROUP, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,162
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	937
Number of retired or separated participants receiving benefits	2019-01-01	3
Number of other retired or separated participants entitled to future benefits	2019-01-01	206
Total of all active and inactive participants	2019-01-01	1,146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1,146
Number of participants with account balances	2019-01-01	511
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	22
2018: SSA GROUP, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	970
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	814
Number of retired or separated participants receiving benefits	2018-01-01	5
Number of other retired or separated participants entitled to future benefits	2018-01-01	174
Total of all active and inactive participants	2018-01-01	993
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	993
Number of participants with account balances	2018-01-01	492
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	24
2017: SSA GROUP, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	903
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	701
Number of retired or separated participants receiving benefits	2017-01-01	5
Number of other retired or separated participants entitled to future benefits	2017-01-01	158
Total of all active and inactive participants	2017-01-01	864
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	864
Number of participants with account balances	2017-01-01	497
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	48
2016: SSA GROUP, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	794
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	725
Number of retired or separated participants receiving benefits	2016-01-01	2
Number of other retired or separated participants entitled to future benefits	2016-01-01	113
Total of all active and inactive participants	2016-01-01	840
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	840
Number of participants with account balances	2016-01-01	476
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	25
2015: SSA GROUP, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	701
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	560
Number of retired or separated participants receiving benefits	2015-01-01	2
Number of other retired or separated participants entitled to future benefits	2015-01-01	100
Total of all active and inactive participants	2015-01-01	662
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	662
Number of participants with account balances	2015-01-01	337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	33
2014: SSA GROUP, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	651
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	558
Number of retired or separated participants receiving benefits	2014-01-01	2
Number of other retired or separated participants entitled to future benefits	2014-01-01	78
Total of all active and inactive participants	2014-01-01	638
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	638
Number of participants with account balances	2014-01-01	273
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	21
2013: SSA GROUP, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	474
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	449
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	57
Total of all active and inactive participants	2013-01-01	506
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	506
Number of participants with account balances	2013-01-01	243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	17

Financial Data on SSA GROUP, LLC 401(K) PLAN

Measure	Date	Value
2022 : SSA GROUP, LLC 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$6,280
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$96
Total income from all sources (including contributions)	2022-12-31	$-1,803,998
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$880,016
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$624,000
Value of total corrective distributions	2022-12-31	$128,973
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,382,775
Value of total assets at end of year	2022-12-31	$12,838,760
Value of total assets at beginning of year	2022-12-31	$15,516,590
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$127,043
Total interest from all sources	2022-12-31	$15,522
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$1,135,229
Participant contributions at end of year	2022-12-31	$38,927
Participant contributions at beginning of year	2022-12-31	$29,321
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$125,579
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$6,280
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$96
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-2,684,014
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$12,832,480
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$15,516,494
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$26,741
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$11,828,328
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$14,517,742
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$966,871
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$966,171
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$966,171
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$15,522
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-3,202,295
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$121,967
Employer contributions (assets) at end of year	2022-12-31	$4,634
Employer contributions (assets) at beginning of year	2022-12-31	$3,356
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$624,000
Contract administrator fees	2022-12-31	$100,302
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	ELIZABETH A TAUER, CPA, PC
Accountancy firm EIN	2022-12-31	841561711
2021 : SSA GROUP, LLC 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$96
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$2,613,946
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$517,782
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$329,156
Value of total corrective distributions	2021-12-31	$47,290
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,116,284
Value of total assets at end of year	2021-12-31	$15,516,590
Value of total assets at beginning of year	2021-12-31	$13,420,330
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$141,336
Total interest from all sources	2021-12-31	$12,208
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$916,717
Participant contributions at end of year	2021-12-31	$29,321
Participant contributions at beginning of year	2021-12-31	$19,235
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$120,049
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$96
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$2,096,164
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$15,516,494
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$13,420,330
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$29,321
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$14,517,742
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$12,622,742
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$966,171
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$778,353
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$778,353
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$12,208
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,485,454
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$79,518
Employer contributions (assets) at end of year	2021-12-31	$3,356
Employer contributions (assets) at beginning of year	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$329,156
Contract administrator fees	2021-12-31	$112,015
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	ELIZABETH A TAUER, CPA, PC
Accountancy firm EIN	2021-12-31	841561711
2020 : SSA GROUP, LLC 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$189
Total income from all sources (including contributions)	2020-12-31	$3,620,453
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,208,443
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$991,818
Value of total corrective distributions	2020-12-31	$104,877
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$999,310
Value of total assets at end of year	2020-12-31	$13,420,330
Value of total assets at beginning of year	2020-12-31	$11,008,509
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$111,748
Total interest from all sources	2020-12-31	$14,312
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$855,458
Participant contributions at end of year	2020-12-31	$19,235
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$113,715
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$189
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$2,412,010
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$13,420,330
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$11,008,320
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$22,942
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$12,622,742
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$10,586,828
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$778,353
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$421,681
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$421,681
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$14,312
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$2,606,831
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$30,137
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$991,818
Contract administrator fees	2020-12-31	$88,806
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	ELIZABETH A TAUER, CPA, PC
Accountancy firm EIN	2020-12-31	841561711
2019 : SSA GROUP, LLC 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$189
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$3,441,866
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$961,626
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$806,460
Value of total corrective distributions	2019-12-31	$57,677
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,299,317
Value of total assets at end of year	2019-12-31	$11,008,509
Value of total assets at beginning of year	2019-12-31	$8,528,080
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$97,489
Total interest from all sources	2019-12-31	$7,968
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,162,798
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$20,306
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$189
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$2,480,240
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$11,008,320
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$8,528,080
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$19,579
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$10,586,828
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$8,116,099
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$421,681
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$411,849
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$411,849
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$7,968
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$2,134,581
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$116,213
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$806,460
Contract administrator fees	2019-12-31	$77,910
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	ELIZABETH A TAUER, CPA, PC
Accountancy firm EIN	2019-12-31	841561711
2018 : SSA GROUP, LLC 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$5,924
Total income from all sources (including contributions)	2018-12-31	$821,173
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$445,494
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$352,947
Value of total corrective distributions	2018-12-31	$3,705
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,258,632
Value of total assets at end of year	2018-12-31	$8,528,080
Value of total assets at beginning of year	2018-12-31	$8,158,325
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$88,842
Total interest from all sources	2018-12-31	$7,262
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,139,855
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$4,780
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$5,924
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$375,679
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$8,528,080
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$8,152,401
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$17,611
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$8,116,099
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$7,814,046
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$411,849
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$344,147
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$344,147
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$7,262
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-444,721
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$113,997
Employer contributions (assets) at end of year	2018-12-31	$132
Employer contributions (assets) at beginning of year	2018-12-31	$132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$352,947
Contract administrator fees	2018-12-31	$71,231
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	ELIZABETH A TAUER, CPA, PC
Accountancy firm EIN	2018-12-31	841561711
2017 : SSA GROUP, LLC 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$5,924
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$9,730
Total income from all sources (including contributions)	2017-12-31	$2,558,931
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$725,793
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$609,782
Value of total corrective distributions	2017-12-31	$46,818
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,292,212
Value of total assets at end of year	2017-12-31	$8,158,325
Value of total assets at beginning of year	2017-12-31	$6,328,993
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$69,193
Total interest from all sources	2017-12-31	$3,966
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,091,052
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$91,330
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$5,924
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$9,730
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,833,138
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$8,152,401
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$6,319,263
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$14,014
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$7,814,046
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$6,328,993
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$344,147
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$3,966
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,262,753
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$109,830
Employer contributions (assets) at end of year	2017-12-31	$132
Employer contributions (assets) at beginning of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$609,782
Contract administrator fees	2017-12-31	$55,179
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	ELIZABETH A TAUER, CPA, PC
Accountancy firm EIN	2017-12-31	841561711
2016 : SSA GROUP, LLC 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$9,730
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$2,811
Total income from all sources (including contributions)	2016-12-31	$1,435,256
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$400,310
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$268,796
Value of total corrective distributions	2016-12-31	$84,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$938,042
Value of total assets at end of year	2016-12-31	$6,328,993
Value of total assets at beginning of year	2016-12-31	$5,287,128
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$47,465
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$846,237
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$13,480
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$9,730
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$2,811
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$1,034,946
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$6,319,263
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$5,284,317
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$6,403
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$6,328,993
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$5,287,128
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$497,214
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$78,325
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$268,796
Contract administrator fees	2016-12-31	$41,062
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	ELIZABETH A TAUER, CPA, PC
Accountancy firm EIN	2016-12-31	841561711
2015 : SSA GROUP, LLC 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$2,811
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$991
Total income from all sources (including contributions)	2015-12-31	$710,907
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$882,244
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$807,107
Value of total corrective distributions	2015-12-31	$31,476
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$809,966
Value of total assets at end of year	2015-12-31	$5,287,128
Value of total assets at beginning of year	2015-12-31	$5,456,645
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$43,661
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$659,657
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$84,343
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$2,811
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$991
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-171,337
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$5,284,317
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$5,455,654
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$6,103
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$5,287,128
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$5,456,645
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-99,059
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$65,966
Employer contributions (assets) at end of year	2015-12-31	$0
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$807,107
Contract administrator fees	2015-12-31	$37,558
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	ELIZABETH A TAUER, CPA, PC
Accountancy firm EIN	2015-12-31	841561711
2014 : SSA GROUP, LLC 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$991
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$105
Total income from all sources (including contributions)	2014-12-31	$1,087,106
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$431,344
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$405,911
Value of total corrective distributions	2014-12-31	$25,433
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$806,296
Value of total assets at end of year	2014-12-31	$5,456,645
Value of total assets at beginning of year	2014-12-31	$4,799,997
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$0
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$495,473
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$261,263
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$991
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$105
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$655,762
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$5,455,654
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,799,892
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$5,456,645
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$4,799,997
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$280,810
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$49,560
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$405,911
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	ELIZABETH A TAUER, CPA, PC
Accountancy firm EIN	2014-12-31	841561711
2013 : SSA GROUP, LLC 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$105
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,286,903
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$237,400
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$206,219
Value of total corrective distributions	2013-12-31	$31,181
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$496,530
Value of total assets at end of year	2013-12-31	$4,799,997
Value of total assets at beginning of year	2013-12-31	$3,750,389
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$0
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$250,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$451,391
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$15,079
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$105
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,049,503
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,799,892
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,750,389
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$4,799,997
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,733,802
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$790,373
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$45,139
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$1,508
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$206,219
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	ELIZABETH A TAUER, CPA, PC
Accountancy firm EIN	2013-12-31	841561711

Form 5500 Responses for SSA GROUP, LLC 401(K) PLAN

2022: SSA GROUP, LLC 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: SSA GROUP, LLC 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: SSA GROUP, LLC 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: SSA GROUP, LLC 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: SSA GROUP, LLC 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: SSA GROUP, LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: SSA GROUP, LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SSA GROUP, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SSA GROUP, LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SSA GROUP, LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-JY5L

Policy instance

Insurance contract or identification number	GAP-CP-JY5L
Number of Individuals Covered	76
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $2,018
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,018
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-JY5L

Policy instance

Insurance contract or identification number	GAP-CP-JY5L
Number of Individuals Covered	73
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $1,703
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,703
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-JY5L

Policy instance

Insurance contract or identification number	GAP-CP-JY5L
Number of Individuals Covered	83
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $1,663
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,663
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-JY5L

Policy instance

Insurance contract or identification number	GAP-CP-JY5L
Number of Individuals Covered	91
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $813
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $813
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-JY5L

Policy instance

Insurance contract or identification number	GAP-CP-JY5L
Number of Individuals Covered	87
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $753
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $753
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-JY5L

Policy instance

Insurance contract or identification number	GAP-CP-JY5L
Number of Individuals Covered	86
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $458
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $458
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0
Insurance broker organization code?	3
Insurance broker name	CAMBRIDGE INVESTMENT RESEARCH

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See full terms and conditions

Company Name:	SSA GROUP, LLC
Employer identification number (EIN):	930996528
NAIC Classification:	722513
NAIC Description:	Limited-Service Restaurants

Jurisdiction of Incorporation:	Colorado Department of State
Incorporation Date:	2003-03-06
Company Identification Number:	20031074720
Legal Registered Office Address:	4624 Central Park Blvd Unit 100 Denver United States of America (USA) 80238